Shop locally or shop out of town

I've got some questions. Which is better, shop locally like my hometown of Greenwood, SC for example or shop out of town like New York City for example for the best clothes? Since I'm about 18" neck 34" sleeve, 56" chest (portly long), and 56" waist, do you think made-to-measure would suit me if I shop locally or shop out of town? What's your advice?